the F-tag (LTC regs) manual explains that well..plus check your facility's policy. depending, there are lots of things that can be considered a restraint in ltc. so it would help to know what kind you are talking about and the reason for it. otherwise it is to only be very last resort, there has to be a trial of other attempts to not use restraint, then you get the physician order, consent signed by family/ or POA ..all of this is of course is reviewed with your interdiciplinary team, then you have to make sure the resident is removed from the restraint, offered activites, offered bathroom, offered hydration etc at least every two hours, then in long term care the restraint really doesn't have to be reviewed or have updated orders quarterly and as needed. as needed means, always look for opportunity to remove it if not needed, if there is a change in condition, etc. there are usually assessments that need done initially and quarterly and you have to prove you have tried attempts to d/c the restraint or not use it at all.
it really is a complicated issue especially if you are used to hospitals who have a more liberal restraint use policy...definetly look at the LTC regs, go to cms.gov that may help too...
hope this helps?
